Organization
CAMDEN-CLARK PHYSICIAN CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE PIERSON (CFO/AUTHORIZED OFFICIAL)
(304) 424-2111
Entity
Organization
Contact information
Practice address
4 ROSEMAR CIR, PARKERSBURG, WV 26104-1219
(304) 865-5544
(304) 865-5545
Mailing address
PO BOX 843, MORGANTOWN, WV 26507-0843
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/28/2019
Last updated
06/24/2025
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